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HomeMy WebLinkAboutF2017-0439 - Permit ApplicationPlease print 3 copies Associated Building Permit # Worksheet for Fire Permit Application sCity of Newport Beach - Building Division 183.2'.2017 F.Z017-0438 (Fire Sprinkler F, Fire Alarm r Fire Misc 1. Project Address (Not mailing address) Floor Suite No #Units I III Tenant Name . -- 2. Description of Work Use Valuation u Extg Sq Ft —, New/Added Sq Ft F Total Sq Ft F Fe # Stories F f—,,New r Add F_Alter (! Demo Check Appropriate Box for Applicant/Notification F, 3. Owner's Name LastFirst— LifC z O4P Owner's Address Owner's E-mail Address City 3L � State e Zip -. /...p(Oo Telephone F— 4. Architect/Designer's Name Last N 6w5QZ1, 0,,q First/r d't a Lic. No. Architect/Designees Address Architect/Designer's E-mail Address City -_. State Zip _ Na%Z Telephone�L�e% Q 5. Engineer's Name Last First Lic. No. <�--' Engineer's Address Engineer's E-mail Address City State F_ Zip F_ Telephoned �6.Contractor's Name LastI First716;Lic No. ©�� Class 6 Contractor's Address Contractor's E-mail Address City State Zip Telephone�— OFFICE USE ONLY PERMIT NO. r TYPE OF CONSTRUCTION PLAN CHECK NO. Z ` OCCUPANCY- GROUP PLAN CHECK FEE $